Rational Emotive Therapy

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Rational Emotive Behavior Therapy

• Frank North
• Missouri Baptist University
• November 2002
• What disturbs peoples minds is not events but
  their judgments on events Epictetus, 100 A.D.

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Rational Emotive Behavior Therapy

• Albert Ellis
• A-B-Cs of REBT
• Treatment Goals
• The practice of REBT

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Albert Ellis

• Born - Pittsburgh 1913
• Grew up in New York City
• Undergraduate City College NY 1934
• Ph.D. - Columbia University 1947
• Discarded traditional psychoanalysis
• Took more active role
• Quicker improvement

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• 1959 Albert Ellis Institute
• Prolific author/editor/consultant
• 60 books, 725 articles,
• Still in active practice today
• 90th Birthday celebration 2003.
• Grant me the courage the change the things I can,
  accept the things I cannot, and the wisdom to
  know the difference.
• Reinhold Niebuhr 20th century theologian

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A-B-Cs of REBT

• A Activating Event (trigger)
• Something happens
• Major event
• Job loss, death of loved one,
• Minor build-ups
• Small events adding up to the last straw

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A-B-Cs of REBT

• B Beliefs
• Rational
• Logical
• Reality based
• Self-helping
• Irrational
• Illogical
• Wishful thinking
• Self-defeating

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The Three Major musts

• Demands about self.
• I must not make mistakes or I will be a failure
• Demand about others.
• You must not be mean to me or you are a rotten
  person.
• Demand about world life.
• Im surrounded by idiots, its just awful.
• Musterbations

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A-B-Cs of REBT

• C Consequences
• Emotional responses
• What happens does not cause you to feel
• You make yourself feel by your beliefs
• Behavioral responses
• Your reaction is for you to control

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A-B-Cs of REBT

• D Dispute Irrational beliefs
• If you are unhappy with C, look at B and look
  into those beliefs.
• Changing old habits challenge and replace.

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A-B-Cs of REBT

• E New Emotions and Behaviors
• Results of replacing irrational B beliefs with
  rational ones.
• The As wont go away, but now they have less
  impact.

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Treatment Goals

• To show clients that self-defeating behaviors
  arise from irrational beliefs they hold about
  activating events.
• To minimize emotional disturbances.
• To help clients surrender irrational beliefs and
  replace with more rational philosophies that will
  help them behave in more constructive,
  self-serving ways.
• To foster a more realistic philosophy of life.

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The Practice of REBT

• The ABC assessment starts from the beginning of
  the first session and continues.
• Therapist listens to the A in depth and to the
  emotional consequence, C.
• Therapist challenges the beliefs B of the
  Client.
• show me proof you cant do anything right
• Client disputes the belief to form a rational
  philosophy about the A event.

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The Practice of REBT

• Too much warmth and understanding can be
  counterproductive for the client and counseling
  process.
• Albert Ellis
• Ellis challenges the client with
• Role playing
• Self-talk
• Humor

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The Practice of REBT

• Active therapist
• Provide clients as quickly as possible the tools
  to help them change their beliefs, thus freeing
  them to confront everyday problems with new
  resources.

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Summary

• Teaching client to identify and discard
  absolute words, musturbations and
  awfulizations

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Musts to Preferences

• I prefer to do well, but if I fail I can try
  again.
• I prefer you treat me well, but since I dont run
  the world, I cannot control you.
• I prefer life be easy, fair, but since it isnt I
  can bear the frustration and still lead an
  enjoyable life.

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